12 cpc certified professional coder jobs found in Raleigh, NC

Immediate need for a talented Appeals Associate (CPC Certified professional Coder) . This is a 03 to 06+ Months contract opportunity with long-term potential and is located in North Carolina (Remote) . Please review the job description below and contact me ASAP if you are interested. Job ID: 23-38969 Pay Range: $25 - $28/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Research and investigate all aspects of the member and provider appeals and grievances, NCDOI, Congressional and/or Department of Justice complaints to ensure compliance with medical necessity criteria, Corporate Medical Policy (CMP), member and provider contract provisions, State and/or Federal requirements, CLIENTA guidelines and/or other mandated requirements (e.g. Thomas Love Settlement), NCQA Standards, Current Procedural Terminology (CPT),...

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Coder I, Outpatient is responsible for coding ED records and PET scans. Collects predefined indicators and abstracts information from medical records. Provides timely and accurate ICD-10-CM and CPT codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinics and CPT Assistant. Codes discharges utilizing the 3M encoder selecting the appropriate APC if applicable for reimbursement. Verifies LCDs for medical necessity. Communicates with physicians and clinical staff regarding coding and documentation issues. Experience Requirements: 1 Year...

Hybrid in Raleigh, NC Visa: USC GC Duration: 6+ Months Responsibilities Provide coding and report design expertise in support of client and team objectives. Working with other analysts and our clients to deliver required reports in a time manner and satisfaction of the customer, within the parameters of the AASHTOWare Project application and Grape City tool. Delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. Work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. Set goals by identifying requirements, use cases and tests, estimate hours required for business analysis and task completion, and ensure clear communication regarding...

Job Description: The primary purpose of this position is to provide coding and report design expertise in support of client and team objectives. This self-driven person will be responsible for delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. A person in this position will work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. This individual will set goals by identifying requirements, use cases, and tests, estimating hours required for business analysis and task completion, and ensure clear communication regarding components to be delivered to the business. Communication with...

Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs AHIMA CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Production driven coding experience Must be able to commit to working 40+ hours per week and seasonal overtime, no part time jobs allowed Access to a private home office and high speed internet if Onshore Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a remote setting Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience...

***MUST BE LOCATED IN THE STATE OF NORTH CAROLINA FOR THIS POSITION*** ***REQUIRED EXPERIENCE WITH HOSPITAL BILLING*** Description: The Revenue Integrity Coder collaborates with various departments within the organization - Health Information Management, Revenue Cycle, Patient Access, Case Management. Understanding of the Chargemaster assists to streamline processes. Addresses claim edits daily related to NCDs, LCDs, CCI edits, Medicare and various payer guidelines. Maintains a vast knowledge of coding rules/regulations surrounding ICD-10-CM/PCS, DRGs, APCs, CPT, HCPCS. Utilizes AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and Payer Specific Billing Guidelines. Applies E&M level services. Works efficiently within EPIC, 3M applications, NThrive. Skills: Revenue cycle, ICD-10, Coding, Cpc, CDM, Accounting, Medical coding, Billing, Project Management Additional Skills & Qualifications: - 2 Years Coding Required; 4 Years Hospital Inpatient...

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Coder Sr., Account Manager serves as the senior member of the Corporate Coding Team by reviewing denials and appeals for coding related issues. Reviews daily Epic work queues and reports status of inpatient and outpatient accounts trending data and predicting fluctuations in A/R for both inpatient and outpatient accounts. Knowledgeable of the revenue cycle, CMS guidelines, managed care contracts, and LCDs. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Reviews SMART accounts on a daily basis as assigned. Experience Requirements: 5 Years Coding -...

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Revenue Integrity Coder collaborates with various departments within the organization - Health Information Management, Revenue Cycle, Patient Access, Case Management. Understanding of the Chargemaster assists to streamline processes. Addresses claim edits daily related to NCDs, LCDs, CCI edits, Medicare and various payer guidelines. Maintains a vast knowledge of coding rules/regulations surrounding ICD-10-CM/PCS, DRGs, APCs, CPT, HCPCS. Utilizes AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and Payer Specific Billing Guidelines. Applies E&M level services. Works efficiently within EPIC, 3M...

The Medical Coder -Training/Documentation Coding position will be responsible for ensuring consistency in the delivery and application of coding training standards across Arietis Health. Provide teams and individuals with the tools they need for successful interpersonal communication at work. Instruct new hire training focusing on billing applications, user access and operations. Track and manage training evaluation process via competency assessment tool for coders. Coordinate with new clients for training on their patient systems, ensure training is documented, SOPs are prepared, and training materials complete for Arietis HealthTech management. Essential Duties and Responsibilities : To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Instructor led training for coders. Prepare...

Job Description: Seeking a Principal Software Engineer that thrives in an environment where we are using innovative technologies to develop and support our Student Debt web-based applications. As a member of the team, you will ensure that you are leading and owning the discussions on how best to complete the work for your squad. A Principal Software Engineer needs to have a strong technical background in multiple coding languages and is willing to assist/mentor more junior staff. Our organization will also allow you to grow and build your abilities each month with dedicated time for learning. The Expertise You Have Bachelor's or Master's degree in a technology related field (e.g. Engineering, Computer Science, etc.) 10+ years of software development experience on business critical, enterprise-wide applications Engineer with expertise and experience in designing and developing applications including new developments, enhancements, maintenance, and support. The role...

POSITION SUMMARY: Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement. Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses and procedures from medical record into the Hospital Health Information system for timely billing. Performs within the prescribed limits of the hospital's/department's Ethics and Compliance program. Responsible to detect, observe and report compliance variances to the Director of Health Information Management or upward through the chain of command, the Compliance Officer, or hospital hotline. MINIMUM QUALIFICATIONS: Must be a Certified Coder through AAPC as a CPC, COC, or CIC or Certified Coder through AHIMA as a CCA or CCS in ICD-10-CM Coding. Three years of IDC-10-CM and CPT coding experience in a...

Overview: Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the foundation of our firm is our people and we continue to rise above our competition by hiring the best. Is it your calling to serve our Nations Heroes? Avosys is seeking a Remote Medical Coder to provide services to the military at Fort Liberty, NC. Maximize family time with no weekend, Holiday, or on-call requirements Maintain work-life balance with guaranteed 8-hour shifts Take advantage of our competitive, comprehensive benefits package including medical, dental, vision, life, short-term disability, long-term disability & 401(k) Responsibilities: Accurately assigns diagnosis and procedure codes for facility and professional services for Ambulatory Procedure Visit (APV), Dental surgical procedures, Observation, Emergency...